Science Links Japan | Gender Differences in In-Hospital Management and Outcomes in Patients With Decompensated Heart Failure: Analysis From the Acute Decompensated Heart Failure National Registry (ADHERE)

Gender Differences in In-Hospital Management and Outcomes in Patients With Decompensated Heart Failure: Analysis From the Acute Decompensated Heart Failure National Registry (ADHERE)

Accession number;06A0161716

Title;Gender Differences in In-Hospital Management and Outcomes in Patients With Decompensated Heart Failure: Analysis From the Acute Decompensated Heart Failure National Registry (ADHERE)

Author; GALVAO MARIE (From Div. Of Cardiology, Montefiore Medical Center, Bronx, New York) KALMAN JILL (Div. Of Cardiology, Beth Israel Medical Center, New York, New York) DEMARCO TERESA (Div. Of Cardiology, Univ. Of California, San Francisco, California) FONAROW GREGG C. (Div. Of Cardiology, Ahmanson-ucla Cardiomyopathy Center, David Geffen School Of Medicine At Ucla, Los Angeles ...) GALVIN CATHERINE (Primary Cardiovascular Care And Associates, White Plains, New York) GHALI JALAL K. (Div. Of Cardiology, Heart Failure Program And Cardiovascular Res., Louisiana State Univ. Health Sciences Center And ...) MOSKOWITZ ROBERT M. (Cardiac Specialists, P.c., Fairfield, Connecticut)

Journal Title;J Card Fail

Journal Code:W1342A

ISSN:1071-9164

VOL.12;NO.2;PAGE.100-107(2006)

Figure&Table&Reference;FIG.1, TBL.5, REF.35

Pub. Country;United States

Language;English

Abstract;The impact of gender differences has not been well described in patients hospitalized with acute decompensated heart failure (ADHF). Through review of medical records, data on characteristics, treatments, and outcomes were analyzed on 105,388 patient records according to gender. Women accounted for 52% of these admissions and were older than men (74.5 versus 70.1 years,) and more commonly had preserved left ventricular function (51% versus 28%). Based on history, women were less likely to have coronary artery disease (51% versus 64%) and its risk factors, but more commonly had hypertension (76% versus 70%). Both genders received similar intravenous diuretic regimens, but fewer women received vasoactive therapy (24% vs 31%). Evidence-based oral therapies were underused in both genders. Women consistently received less procedure-oriented therapy. Mean length of stay (women 5.9, men 5.8 days) and the risk-adjusted in-hospital mortality (adjusted odds ratio 0.974 [0.910-1.042], P = .4390) were similar in both genders. More women than men are hospitalized with ADHF. Heart failure with preserved left ventricular function predominates in women. Though women are treated less aggressively, treatment gaps exists in both sexes. Despite these differences, length of stay and in-hospital mortality rates are similar. Copyright 2006 Elsevier B.V., Amsterdam.All rights reserved.

Related Articles;